CARSON L FAIRBANKS (NPI# 1528324118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528324118 |
| Entity Type | Individual |
| Full Name | CARSON L FAIRBANKS |
| Credential | M.D. |
| Practice Address |
6301 Harris Pkwy Ste 200 Fort Worth TX 76132 |
| Mailing Address |
6301 Harris Pkwy Ste 200 Fort Worth TX 76132-4265 |
| Practice Telephone | 8174333450 |
| Practice Fax Number | 8172946429 |
| Mailing Telephone | 8174333450 |
| Mailing Fax Number | 8172946429 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Q7686 | TX | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
53703 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
6301 HARRIS PKWY STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155942 | Steven B Singleton | Specialist | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2005-06-21 |
| 1043878242 | Jillian Whelan | Physician Assistant | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2019-06-03 |
| 1326389438 | Gary James Gostnell | Physician Assistant | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2013-03-14 |
| 1639435266 | Elizabeth Mirdza Batterton | Family Medicine | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2012-04-09 |
| 1205092327 | Russell R Smith | Physician Assistant | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2008-07-29 |
| 1417051889 | Glen Thomas Garlington | Nurse Practitioner | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 | 2006-09-07 |
| 1750306502 | Mark W Wylie | Orthopaedic Surgery | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2006-07-13 |
| 1225060155 | James M Bothwell | Orthopaedic Surgery | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2006-07-07 |
| 1932176013 | Troy M. Duley | Physician Assistant | 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4249 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992113088 | Equinox Spine Pa | Orthopaedic Surgery | 3160 North Tarrant Parkway, Fort Worth, TX 76177 | 2014-08-01 |
| 1871739383 | Jason C Tinley, Md, Pllc | Orthopaedic Surgery | 4441 Bryant Irvin Rd N, Fort Worth, TX 76107-7338 | 2009-01-05 |
| 1184800732 | Jason Christopher Tinley | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2008-01-14 |
| 1023214475 | Andrew Albert Indresano | Orthopaedic Surgery | 3160 N Tarrant Pkwy Ste 404, Fort Worth, TX 76177-8614 | 2007-06-22 |
| 1770124851 | Clavw | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2019-09-30 |
| 1669970943 | Optimal Health Network of Texas LLC | Orthopaedic Surgery | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2018-01-31 |
| 1265969562 | Lone Star Spine Institute, Pa | Orthopaedic Surgery | 3600 W 7th St Ste A, Fort Worth, TX 76107-2534 | 2017-05-17 |
| 1811375645 | Lean 3, LLC | Orthopaedic Surgery | 4420 Heritage Trace Pkwy, Ste 308, Fort Worth, TX 76244-8903 | 2015-05-13 |
| 1932473436 | Vishal Chandrakant Patel | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2012-02-29 |
| 1437474608 | Neil Dilip Shah | Orthopaedic Surgery | 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132-4261 | 2010-03-31 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on CARSON L FAIRBANKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.